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Quality for home palliative care: an Italian metropolitan multicentre JCI-certified model.
BMJ Qual Saf. 2011 Jul; 20(7):592-8.BQ

Abstract

BACKGROUND

Assessing the quality of care and service delivery through the analysis of ad hoc indicators is a relevant process for quality monitoring and improvement with a view to providing patients, the community and administrators alike with appropriate elements of evaluation. This paper describes the key results of a certification process based on the Joint Commission International (JCI) criteria for the home hospitalisation model implemented by the palliative care units of seven Milan hospitals for terminally ill patients with cancer.

METHODS

In 2006, the interhospital working team implemented a certification project based on the JCI Disease or Condition-Specific Care (DSCS) programme. Thirty standards subdivided into five functional areas with 150 measurable elements were the starting-point for periodic improvement plans within and across participating hospitals. Programme compliance was analysed in terms of annual performance improvement and consistency across the seven PCUs involved in achieving set goals. The JCI standards were applied on 3316 terminally ill patients with cancer treated at home from 2005 to 2009.

RESULTS

As a result of the work carried out, the JCI survey conducted 3 years after project implementation demonstrated full compliance with the established standards, leading to the JCI certification award (for the first time in this clinical setting internationally).

CONCLUSION

The work carried out with a view to certification has confirmed the possibility that facilities spread across different hospitals can actually share common processes and standardise the activities for the care of end-of-life patients with cancer at home as if they were one single service provider.

Authors+Show Affiliations

Istituti Clinici di Perfezionamento Hospital, via Castelvetro 28, Milan 20155, Italy. franco.rizzi@icp.mi.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21292692

Citation

Rizzi, Franco, et al. "Quality for Home Palliative Care: an Italian Metropolitan Multicentre JCI-certified Model." BMJ Quality & Safety, vol. 20, no. 7, 2011, pp. 592-8.
Rizzi F, Pizzuto M, Lodetti L, et al. Quality for home palliative care: an Italian metropolitan multicentre JCI-certified model. BMJ Qual Saf. 2011;20(7):592-8.
Rizzi, F., Pizzuto, M., Lodetti, L., Corli, O., Da Col, D., Damiani, M. E., Mihali, D., Piva, L., Saita, L., Vinci, M., & Bonaldi, A. (2011). Quality for home palliative care: an Italian metropolitan multicentre JCI-certified model. BMJ Quality & Safety, 20(7), 592-8. https://doi.org/10.1136/bmjqs.2010.046649
Rizzi F, et al. Quality for Home Palliative Care: an Italian Metropolitan Multicentre JCI-certified Model. BMJ Qual Saf. 2011;20(7):592-8. PubMed PMID: 21292692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality for home palliative care: an Italian metropolitan multicentre JCI-certified model. AU - Rizzi,Franco, AU - Pizzuto,Massimo, AU - Lodetti,Laura, AU - Corli,Oscar, AU - Da Col,Daria, AU - Damiani,Maria Eugenia, AU - Mihali,Dorian, AU - Piva,Laura, AU - Saita,Luigi, AU - Vinci,Maria, AU - Bonaldi,Antonio, AU - ,, Y1 - 2011/02/02/ PY - 2011/2/5/entrez PY - 2011/2/5/pubmed PY - 2012/8/22/medline SP - 592 EP - 8 JF - BMJ quality & safety JO - BMJ Qual Saf VL - 20 IS - 7 N2 - BACKGROUND: Assessing the quality of care and service delivery through the analysis of ad hoc indicators is a relevant process for quality monitoring and improvement with a view to providing patients, the community and administrators alike with appropriate elements of evaluation. This paper describes the key results of a certification process based on the Joint Commission International (JCI) criteria for the home hospitalisation model implemented by the palliative care units of seven Milan hospitals for terminally ill patients with cancer. METHODS: In 2006, the interhospital working team implemented a certification project based on the JCI Disease or Condition-Specific Care (DSCS) programme. Thirty standards subdivided into five functional areas with 150 measurable elements were the starting-point for periodic improvement plans within and across participating hospitals. Programme compliance was analysed in terms of annual performance improvement and consistency across the seven PCUs involved in achieving set goals. The JCI standards were applied on 3316 terminally ill patients with cancer treated at home from 2005 to 2009. RESULTS: As a result of the work carried out, the JCI survey conducted 3 years after project implementation demonstrated full compliance with the established standards, leading to the JCI certification award (for the first time in this clinical setting internationally). CONCLUSION: The work carried out with a view to certification has confirmed the possibility that facilities spread across different hospitals can actually share common processes and standardise the activities for the care of end-of-life patients with cancer at home as if they were one single service provider. SN - 2044-5423 UR - https://www.unboundmedicine.com/medline/citation/21292692/Quality_for_home_palliative_care:_an_Italian_metropolitan_multicentre_JCI_certified_model_ L2 - http://qhc.bmj.com/cgi/pmidlookup?view=long&pmid=21292692 DB - PRIME DP - Unbound Medicine ER -